Individual
AMEYA KAVEESHWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
401 W ONTARIO ST STE 240, CHICAGO, IL 60610-6957
(312) 514-1478
Mailing address
401 W ONTARIO ST STE 240, CHICAGO, IL 60610-6957
(312) 514-1478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
04/14/2007
Last updated
10/19/2007
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